Organization
EAST JORDAN FAMILY HEALTH CENTER
Active
Other names
East Jordan Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCKINNON (CEO)
(231) 536-2206
Entity
Organization
Contact information
Practice address
601 BRIDGE ST, EAST JORDAN, MI 49727-9383
(231) 536-2207
(231) 536-7739
Mailing address
601 BRIDGE ST, EAST JORDAN, MI 49727-9383
(231) 536-2207
(231) 536-7739
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301008035
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301008035
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2366537
NCPDP
—
Enumeration date
10/26/2005
Last updated
12/22/2025
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